Endoscpy nsl/sns w/cntrl nsl hmrrgh at Sequoia Hospital
170 Alameda de las Pulgas, Redwood City, CA · CommonSpirit Health · · NPI 1568646735
not published by hospital
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
?
What you pay up front if you don't use insurance.
not published by hospital
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
?
The hospital's undiscounted list price — almost no one pays this.
$199.94 with BCBS - Anthem vs $10,404.00 with BCBS - Anthem — same scan, same building. Share
Negotiated rates by payer
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| BCBS - Anthem | Medicaid|< 21 | $199.94 | — |
| Partnership Health Plan | Medicaid|< 21 | $199.94 | — |
| BCBS - Anthem | Medicaid|> 21 | $199.94 | — |
| Partnership Health Plan | Medicaid|> 21 | $199.94 | — |
| Kaiser | Medicaid|< 21 | $199.94 | — |
| Kaiser | Medicaid|> 21 | $199.94 | — |
| Health Net | Medicaid|< 21 | $245.93 | — |
| Health Net | Medicaid|> 21 | $245.93 | — |
| Brown Toland | Medicare|All Plans | $306.13 | — |
| Health Plan San Mateo | Medicaid|< 21 | $387.67 | — |
| Health Plan San Mateo | Medicaid|> 21 | $387.67 | — |
| Humana | Commercial|All Plans | $2,528.94 | — |
| Humana | Medicare|All Plans | $2,528.94 | — |
| Aetna | Medicare|All Plans | $2,528.94 | — |
| United | Medicare|All Plans | $2,528.94 | — |
| Health Net | Medicare|All Plans | $2,528.94 | — |
| Health Net | Commercial|Canopy Health | $2,528.94 | — |
| Kaiser | Medicare|All Plans | $2,528.94 | — |
| BCBS - Anthem | Medicare|All Plans | $2,528.94 | — |
| Blue Shield CA | Medicare|All Plans | $2,528.94 | — |
| Chinese Community | Medicare|All Plans | $2,528.94 | — |
| Health Plan San Mateo | Medicare|All Plans | $2,528.94 | — |
| Brown Toland | Commercial|All Plans | $2,781.83 | — |
| Blue Shield CA | Commercial|Exchange | $4,170.00 | — |
| Blue Shield CA | Commercial|ACO Trio | $4,296.00 | — |
| Aetna | Commercial|All Plans | $5,324.00 | — |
| Blue Shield CA | Commercial|All Other Plans | $5,565.00 | — |
| BCBS - Anthem | Commercial|All Other Plans | $6,138.00 | — |
| Sutter Health | Commercial|All Plans | $7,915.58 | — |
| Health Net | Commercial|Care Product | $8,856.00 | — |
| Health Net | Commercial|FFS | $10,265.00 | — |
| BCBS - Anthem | Commercial|MCS | $10,404.00 | — |
| Connected Care | Commercial|Intel | not published by hospital | — |
| Healthsmart | Commercial|All Plans | not published by hospital | — |
| Multiplan | Commercial|All Plans | not published by hospital | — |
| Kaiser | Commercial|All Plans | not published by hospital | — |
Visitor-reported prices
Comments
Endoscpy nsl/sns w/cntrl nsl hmrrgh at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $3,706.68 | $1,921.00 – $4,657.00 |
| Queen of The Valley Medical Center | Napa | $4,653.75 | $2,527.21 – $9,858.00 |
| Providence St Joseph Hospital Eureka | Eureka | $2,438.82 | $2,289.25 – $9,858.00 |
| Healdsburg Hospital | Healdsburg | $2,755.53 | $2,335.00 – $5,198.77 |
| Redwood Memorial Hospital | Fortuna | $2,445.96 | $5,981.00 – $25,998.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $8,516.49 | $2,238.00 – $4,737.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $2,574.72 | $1,945.86 – $5,171.00 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $1,691.55 | $1,142.00 – $4,235.11 |